Dr KELLY DIFABIO is a female medical professional, specializing in Emergency Medicine. She graduated in 2013 from Philadelphia College Of Osteopathic Medicine.
MYRIAD EMERGENCY PHYSICIANS LLC
1140 ROUTE 72 W
SOUTHERN OCEAN MEDICAL CENTER
MANAHAWKIN
NJ
080502412
Tel: 6099783080
| Npi | 1265870091 |
| Pac Id | 5890085492 |
| Professional Enrollment Id | I20170725003094 |
| Last Name | DIFABIO |
| First Name | KELLY |
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| Gender | F |
| Credential | |
| Medical School Name | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | EMERGENCY MEDICINE |
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| Organization Legal Name | MYRIAD EMERGENCY PHYSICIANS LLC |
| Group Practice Pac Id | 4082906391 |
| Number Of Group Practice Members | 27 |
| Line 1 Street Address | 1140 ROUTE 72 W |
| Line 2 Street Address | SOUTHERN OCEAN MEDICAL CENTER |
| Marker Of Address Line 2 Suppression | |
| City | MANAHAWKIN |
| State | NJ |
| Zip Code | 080502412 |
| Phone Number | 6099783080 |
| Hospital Affiliation Ccn 1 | 310052 |
| Hospital Affiliation Lbn 1 | OCEAN MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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